1. INTERNSHIP APPLICATION
Please indicate the semester for which you are applying:
qFall qSpring
APPLICANT CONTACT INFORMATION
Name:
E-­‐‑mail:
Current Address:
City: State:
Zip:
Permanent Address (if different from above):
City: State: _____ Zip: ____________
Telephone Number:
EMERGENCY CONTACT PERSON
Name:
Relationship:
Telephone Number:
AVAILABILITY
Specific available dates ___________ to ___________
Number of hours available each week:______________
If known, please indicate your availability:
MONDAYS:
TUESDAYS:
WEDNESDAYS:
THURSDAYS:
FRIDAYS:
How many academic credits do you plan to complete?____________

2. *LCHS is happy to assist interns in obtaining academic credit. However, it is the intern’s
responsibility to find out about their school’s requirements and process for receiving
credit.
AREAS OF INTEREST
Please select items from the list below that relate to your interests. This will help
us match applicants with available projects.
qCollections Management qEducation
qMarketing/Advertising qTour Guiding
qExhibitions qAudience Research
qOther:
RELEVANT SKILLS
Please check any boxes where you have had training and/or experience.
qData entry qPublic speaking
qGraphic design qResearch
qPhotography qTeaching
qTour guiding qEditing
qArt/artifact handling qCataloguing
qTranscription
Please list any other special skills you have that may be relevant to an internship
at LCHS (computer proficiencies, foreign languages, etc.):
ACADEMIC INFORMATION
Name of current college/university:
City/State:
Major:
Minor (or second major):
(Anticipated) Graduation Date:

3. Please attach the following to this application:
1. WORK AND/OR VOLUNTEER EXPERIENCE
Please list or describe any work and/or volunteer experience.
2. PERSONAL STATEMENT
Please describe why you are interested in an internship at the Livingston County
Historical Society and Museum. Be sure to comment on your goals, including
career and educational objectives, and how the internship would assist you in
achieving those goals. (500 words or less)
3. REFERENCES
Please provide the names, titles, and contact information – including e-­‐‑mail
addresses – for three (3) professional and/or academic references.
4. UNOFFICIAL TRANSCRIPT
Please return completed form to:
LCHS Site Internships
Attn: Anna Kowalchuk
30 Center Street
Geneseo, NY 14454
*Or, send it via e-­‐‑mail to: lchistory@frontier.com